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CARRFOUR SUPPORTIVE HOUSING, INC.

Company Details

Entity Name: CARRFOUR SUPPORTIVE HOUSING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 Feb 1993 (32 years ago)
Document Number: N93000000642
FEI/EIN Number 650387766
Address: 1398 SW 1ST STREET, 12TH FLOOR, MIAMI, FL, 33135, US
Mail Address: 1398 SW 1ST STREET, 12TH FLOOR, MIAMI, FL, 33135, US
ZIP code: 33135
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972728806 2007-04-16 2020-09-02 155 S MIAMI AVE, SUITE 850, MIAMI, FL, 331301617, US 1398 SW 1ST ST FL 12, MIAMI, FL, 331352380, US

Contacts

Phone +1 305-371-8300

Authorized person

Name MS. STEPHANIE BERMAN
Role PRESIDENT CEO
Phone 3053718300

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF CARRFOUR SUPPORTIVE HOUSING, INC. 2015 650387766 2016-10-13 CARRFOUR SUPPORTIVE HOUSING, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 624200
Sponsor’s telephone number 3053718300
Plan sponsor’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing IRENE LUZOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing IRENE LUZOD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CARRFOUR SUPPORTIVE HOUSING, INC. 2014 650387766 2015-10-05 CARRFOUR SUPPORTIVE HOUSING, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 624200
Sponsor’s telephone number 3053718300
Plan sponsor’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135

Signature of

Role Plan administrator
Date 2015-10-05
Name of individual signing IRENE P. LUZOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-05
Name of individual signing IRENE P. LUZOD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CARRFOUR SUPPORTIVE HOUSING, INC. 2013 650387766 2014-10-07 CARRFOUR SUPPORTIVE HOUSING, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 624200
Sponsor’s telephone number 3053718300
Plan sponsor’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CARRFOUR SUPPORTIVE HOUSING, INC. 2012 650387766 2013-10-01 CARRFOUR SUPPORTIVE HOUSING, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 624200
Sponsor’s telephone number 3053718300
Plan sponsor’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CARRFOUR SUPPORTIVE HOUSING, INC. 2011 650387766 2012-10-05 CARRFOUR SUPPORTIVE HOUSING, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 624200
Sponsor’s telephone number 3053718300
Plan sponsor’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135

Plan administrator’s name and address

Administrator’s EIN 650387766
Plan administrator’s name CARRFOUR SUPPORTIVE HOUSING, INC.
Plan administrator’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135
Administrator’s telephone number 3053718300

Signature of

Role Plan administrator
Date 2012-10-05
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CARRFOUR SUPPORTIVE HOUSING, INC. 2010 650387766 2011-09-29 CARRFOUR SUPPORTIVE HOUSING, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 624200
Sponsor’s telephone number 3053718300
Plan sponsor’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135

Plan administrator’s name and address

Administrator’s EIN 650387766
Plan administrator’s name CARRFOUR SUPPORTIVE HOUSING, INC.
Plan administrator’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135
Administrator’s telephone number 3053718300

Signature of

Role Plan administrator
Date 2011-09-29
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-29
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CARRFOUR SUPPORTIVE HOUSING, INC. 2009 650387766 2010-10-12 CARRFOUR SUPPORTIVE HOUSING, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 624200
Sponsor’s telephone number 3053718300
Plan sponsor’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135

Plan administrator’s name and address

Administrator’s EIN 650387766
Plan administrator’s name CARRFOUR SUPPORTIVE HOUSING, INC.
Plan administrator’s address 1398 SW 1ST ST FL 12, MIAMI, FL, 33135
Administrator’s telephone number 3053718300

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing IRENE C. PASTOR-LUZOD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BERMAN STEPHANIE Agent 1398 SW 1ST STREET, MIAMI, FL, 33135

President

Name Role Address
BERMAN STEPHANIE President 1398 SW 1ST STREET, 12TH FLOOR, MIAMI, FL, 33135

Vice Chairman

Name Role Address
Vila Jose Vice Chairman 2525 Ponce de Leon Boulevard, Coral Gables, FL, 33134

Treasurer

Name Role Address
Lopes Cetaeno Treasurer C/o 1398 SW 1ST STREET, MIAMI, FL, 33135

Secretary

Name Role Address
Fine Carol Secretary 700 Brickell Avenue, MIAMI, FL, 33131

Chairman

Name Role Address
DANNER STEPHEN Chairman 2525 Ponce de Leon Boulevard, Coral Gables, FL, 33134

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000045196 OPERATION SACRED TRUST EXPIRED 2012-05-15 2017-12-31 No data 200 S PARK ROAD, SUITE 455, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
AMENDMENT 2016-05-18 No data No data
AMENDMENT 2004-03-29 No data No data
NAME CHANGE AMENDMENT 2002-10-31 CARRFOUR SUPPORTIVE HOUSING, INC. No data
NAME CHANGE AMENDMENT 1995-04-10 CARRFOUR CORPORATION No data
NAME CHANGE AMENDMENT 1993-03-17 CARREFOUR HOUSING CORPORATION No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State